There has been a relatively steady decline in primary-care visits since 2009, although nurse practitioners and physician assistants are making up some ground, according to new research from the Health Care Cost Institute.

A record high of 141.4 million people visited an ER in 2014, the same year the Affordable Care Act's insurance expansion went into effect. The results contradict policy experts' assertions that unnecessary ER use would decline as more people gained access to health insurance under the ACA.

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